OBJECTIVE: To report a case of ovarian heterotopic pregnancy after an IVF cycle.DESIGN: Case report.SETTING: Reproductive medicine unit, Christian Medical College Hospital, Vellore, India.PATIENT(S): A woman with an ovarian heterotopic pregnancy.INTERVENTION(S): Laparoscopic removal of ovarian ectopic pregnancy.MAIN OUTCOME MEASURE(S): Early detection and successful treatment of heterotopic pregnancy.RESULT(S): Successful laparoscopic management of ovarian pregnancy resulting in a single viable ongoing intrauterine pregnancy.CONCLUSION(S): Clinicians need to be aware of such rare and potentially fatal presentations after IVF, because early diagnosis and management in these cases can yield a favorable outcome.